Active NPI
Dallas County Hospital District
- Pharmacy
- Dallas, TX
National Provider Identifier
1982698569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 4633300002
- Legal business name
- DALLAS COUNTY HOSPITAL DISTRICT
- Practice address
- 5151 Maple Ave # 1-1676
Dallas, TX 75235-8136 - Phone
- (142) 590-6323
- Fax
- (142) 590-6160
- NPI assigned
- Sep 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edmundo Castaneda
- Title
- Exec VP & Chief Operating Officer
- Phone
- (214) 590-8006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 4633300002 | TX | Primary |
Addresses
Primary practice location
5151 Maple Ave # 1-1676
Dallas, TX 75235-8136
Mailing address
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (469) 419-1976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4539067 | Other | TX | NCPDP |
Other names 1
- Moody Outpatient Clinic Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930059553 | TX | DME Supplier - Pharmacy | 8325934813 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dallas, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1982698569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "469-419-1976",
"fax_number": "469-419-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 MAPLE AVE # 1-1676",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358136",
"telephone_number": "142-590-6323",
"fax_number": "142-590-6160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-09",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "CASTANEDA",
"authorized_official_first_name": "EDMUNDO",
"authorized_official_title_or_position": "EXEC VP & CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "214-590-8006"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "4633300002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4539067",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moody Outpatient Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dallas, TX
- Dallas County Hospital District
- Dallas County Hospital District
- Dallas County Hospital District
- Dallas County Hospital District
- Dallas County Hospital District
- Dallas County Hospital District
- Dallas County Juvenile Department
- Dallas County Mental Health & Mental Retardation Center
- Dallas County Mental Health & Mental Retardation Center
- Dallas County Mental Health & Mental Retardation Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.